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乳头血性溢液32例诊治体会 被引量:5

Experience on Diagnosis and Treatment of Nipple Bloody Discharge in 32 Patients
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摘要 目的 探讨乳头血性溢液的病因和诊治方法。方法 对 1994~ 1996年经我院手术治疗以乳头血性溢液为首发症状的 32例患者进行回顾性分析。结果  32例患者的病因均为乳腺导管内乳头状瘤 (4 6 6 % )、乳腺癌(2 5 % )、导管扩张症 (2 1 9% )及乳腺纤维囊性增生症 (12 5 )。 8例乳腺癌患者年龄均超过 45岁。用平针头插入溢血乳管并注入美蓝 ,可确保溢液部位的切除。结论 乳头血性溢液的主要原因为导管内乳头状瘤、乳腺癌、导管扩张症和纤维囊性增生症 。 Objective:To investigate the causes,diagnosis and operative treatment of nipple bloody discharge.Methods:32 cases of nipple bloody discharge diagnosed and treated in our hospital between 1994-1996 were retrospectively studied.Results:The causes of nipple bloody discharge among 32 cases were intraductal papilloma of breast 13 cases (46.6%),carcinoma of breast 8(25%),duct ectasia 7(21.9%) and cystic hyperplasia of breast 4(12.5%).The age of patients with breast carcinoma was all over 45 years .By insertion of blunted needle into the affected duct of nipple and injection of the methylene blue into the duct,the breast lesion can be excised definitely.Conclusion:The main causes of nipple bloody discharge are intraductal papilloma,carcinoma,duct ectasia and cystic hyperplasia of breast.The possibility of breast carcinoma increased obviouslyis in patients over 45 years of age.
作者 许示心
出处 《苏州医学院学报》 2000年第5期445-446,共2页 Acta Academiae Medicinae Suzhou
关键词 乳冰血性溢液 病因 诊断 外科手术 Nipple discharge Cause Diagnosis Operative treatment
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  • 1王小燕,中国超声医学杂志,1997年,13卷,69页
  • 2沈康年,普外基础与临床杂志,1996年,3期,104页
  • 3吴阶平,黄家驷外科学.上(第5版),1992年,894页
  • 4韩企夏,沈镇宙,李月云.乳腺导管内乳头状瘤144例分析[J]肿瘤,1988(02).

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